Kyle Anthony Thompson, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

272707 Issued in KY

Practice address

307 McCready Ave
Louisville, KY 40206-2751

Phone

(502) 693-9722

NPI assigned

Aug 24, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renew Counseling, LLC

  dba Renew Counseling Services

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1437699428
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1144997677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MCCREADY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062751",
            "telephone_number": "502-693-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MCCREADY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062751",
            "telephone_number": "502-693-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KYLE",
        "middle_name": "ANTHONY",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "272707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.renewcounselingservices.org/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://www.renewcounselingservices.org/",
            "address_1": "214 Breckenridge Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402073868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kiara Thompson
• Kielee Thompson, LPCC
• Kimberly Lynn Thompson
• Kirby Thompson, RBT
• Kristi Collier Thompson, LPCC
• Laura Thompson
• Lauren Nicole Thompson, PHARMD
• Leslie Thompson
• Marcella Alice Thompson
• Margaret Thompson, LPCC

• Professional Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.